Transcription
J: CardiovascularCollege of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.87
Major Competency Area: JCardiovascularCompetency: J-1Date: June 1, 2015Cardiovascular NursingA Licensed Practical Nurse will:J-1-1Demonstrate knowledge and ability to apply critical thinking and criticalinquiry throughout the nursing process in cardiovascular nursing.J-1-2Demonstrate knowledge and understanding of anatomy, physiology andpathophysiology of the cardiovascular system and cardiovascular diseaseincluding: determinants of normal cardiac cycle and cardiac conduction pathway cardiovascular diseases and disorderso atherosclerosiso cardiac dysrhythmiaso cardiac valve disease (insufficiency/stenosis)o cardiomyopathyo congenital heart disease/anomalyo pericarditis/myocarditis/endocarditiso heart failureo hypercholesterolemia/dyslipidemiao hyper/hypotensiono ischemic heart diseaseo peripheral artery disease determinants of blood pressure and central venous pressure decompensation, shock, hypovolemic shock, cardiac failure single and multiple organ system failureJ-1-3Demonstrate knowledge and ability to provide health teaching and coachingassociated with cardiovascular nursing.J-1-4Demonstrate knowledge and ability to communicate and collaborate withinter-professional team.88College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
Major Competency Area: JCardiovascularCompetency: J-2Date: June 1, 2015Cardiovascular InterventionsA Licensed Practical Nurse will:J-2-1Demonstrate knowledge and ability to provide evidence informed, clientcentered care in relation to cardiovascular nursing: ensure and respect client choices in decision making assess and monitor:o hemodynamicso lab values/biochemical markerso limb temperatureo peripheral diagnostic and interventional procedureso renal sufficiencyo venous thromboembolism (sequential compression device therapy)o vital signs differentiate normal rhythm and arrhythmia prepare client for diagnostic tests, procedures, treatments and/or surgery implement pre/post procedure routines and protocolsJ-2-2Demonstrate knowledge and ability to utilize cardiac equipment: apply 3 and 5 lead electrocardiogram (ECG) apply telemetry equipment resuscitation equipment:o automated external defibrillator (AED)o bag and masko crash cart understand use of:o external cardiac pacingo pacemaker sensing, on/offo 24 hour Holter monitoro Doppler imagery/echocardiographyo central venous pressure (CVP) and arterial linesCollege of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.89
Competency: J-2Page: 2Cardiovascular InterventionsA Licensed Practical Nurse will:J-2-3Demonstrate knowledge and understanding of normal/abnormal lab valuesand cardiac markers: Aspartate transaminase (AST) Creatine Kinase (CK-MB) Ischemia-Modified Albumin (IMA) Lactate Dehydrogenase (LDH) Myoglobin (Mb) Natriuretic Peptides: BNP/or NT-proBNT Troponin 1 testJ-2-4Demonstrate knowledge and ability to apply principles of pharmacokineticsand pharmacodynamics specific to medication management incardiovascular nursing according to agency policy.J-2-5Demonstrate knowledge and understanding of indications, contraindicationsand complications associated with cardiovascular and related diagnostic testsand procedures including: angiogram (radial, femoral) angioplasty and stents coronary artery bypass grafting (CABG) echocardiogram (trans-thoracic, trans-esophageal) exercise stress test radionuclide angiography:o MIBI Scan (Cardiolite, Persantine)o multiple gated acquisition (MUGA)o Thallium Scan right heart catheterization tilt testJ-2-6Demonstrate knowledge and ability to anticipate and recognize actual orpotential immediate life threatening health crisis including: alteration in cardiac output alteration in vascular tissue perfusion (compartment syndrome) cardiac arrhythmias cardiac tamponade90College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
Competency: J-2Page: 3Cardiovascular InterventionsA Licensed Practical Nurse will:J-2-6Demonstrate knowledge and ability to anticipate and recognize actual orpotential immediate life threatening health crisis including: (cont’d) cardiomyopathy congenital heart defect congestive failure myocardial infarction shockJ-2-7Demonstrate knowledge and ability to recognize signs and symptoms of a lifethreatening cardiac event and implement or assist with cardio pulmonaryresuscitation according to agency policy.College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.91
Major Competency Area: JCardiovascularCompetency: J-3Advanced CardiovascularInterventionsDate: June 1, 2015A Licensed Practical Nurse will:J-3-1Demonstrate knowledge and ability to care for client requiring detailedobservation and interventions including: hemodynamic monitoringo central venous pressure monitoring (CVP)o peripherally inserted central catheter care (PICC) (Competency V-4)o arterial line monitoring non-invasive and mechanical ventilationJ-3-2Demonstrate knowledge and ability to assist with and/or provide cardiacprocedures, treatments, therapies and interpretation of diagnostic and labvalues: 12 and 15 lead ECG application and interpretationo rhythm, rate, P-wave configuration, PR interval, QRS duration/configuration, inversion, flattening, other wave anomalies atrial fibrillation protocol monitor and manage symptoms of arrhythmia and cardiac tamponade monitor and remove radial bands monitor femoral sheaths and epicardial pacing wiresJ-3-3Demonstrate knowledge and understanding of indications for use of externalcardiac pacing and implanted cardiac devices: monitor telemetry equipment apply 24hr Holter monitor recognize complications of external pacemaker and implantable cardioverterdefibrillator (ICD)o failure to outputo failure to captureo sensing abnormalities92College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
Jun 01, 2015 · Cardiovascular Competency: J-1 Cardiovascular Nursing Date: June 1, 2015 88 College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. A Licensed Practical Nurse will: J-1-1 Demonstrate knowledge and ability to apply critical thinking and critical inquiry
